Pelvic floorShe gave me more advanced core ecpxercpppp

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i am 8.5 weeks post hysterectomy SSF A and P repairs.  All ok as far as surgeon is concerned. Cleared to exercise etc but limit lifting to 10 kgs..

I went to see a woman’s health physio this week for exercise advice. She checked I was engaging pelvic floor correctly when exercising it  She gave me more advanced core and glute exercises to support pelvic floor.  She also corrected my posture to put hips in optimal position for PF to work properly. The thing that she also stressed was relaxing your PF with deep belly breathing. she suggested trying it standing but I couldn’t relax and breathe in this position  so doing it lying down. 

i had been aching a lot in the afternoon/evening so wondering if I have been tiring these muscles out by over clenching.

Anyway, I seem to now have lost the ability to stand sit and walk without overthinking what I should do. So questions 

1 Do you hold or relax PF when walking and sitting?

2 Aching PF long does this go on for, is it normal?

3 if PF is tense/aching....should I reduce Kegels?

I will see her again in a few weeks but advice from any that has had similar problems would be great.


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  • Posted

    Hi! Same thing here what the Pelvic floor is concerned. Mine is too tensed. I am absolutely not allowed to do kegels until I have less tensed pf muscles. I am only allowed to do deep breathing relaxation exercises a couple of times a day and that's it.

    A normal pf is always a bit engaged when walking or sitting, and you do not need to tense them extra. If your pf muscles are too tensed you will probably clench them too much (unconsciously) when sitting and walking which will give you pain.

    What my pf physio told me is that it will probably take a while to get that all back to normal.

    I have the same thing.... It burns down there off and on during the day, my pf hurts, and I have the urge to urinate more on and off. This all can be caused by and overactive pf

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  • Posted


    I have seen a woman s pelvic floor specialist and she told me to draw up pelvic floor when sneezing and holding things.

    You will have a burny ache in vagina if you are clenching to tight so lessen up on them.

    Are you also doing the quick flicks? These are very important as your muscles need to relax also.

    I am doing 3 reps of 10 and 10 quick flicks also.

    I refuse to carry anything heavier than 1 pint of milk till my flooring stronger.

    My consultant told me info feel an ache in the tummy area I'm clenching tummy rather than floor and that's incorrect.

    I feel the burn in vagina if I hold to tight.

    Also I can take up to 12 mths for floor to recover and strengthen.

    Best to lay down also to do them.I was told not to do that standing at this early on.

    Good luckxx

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  • Posted

    I find it so interesting that so many ladies who have had the prolapse surgeries are involved in pelvic floor physical therapy. I am in the U.S. and my dr did not say anything about pelvic floor exercises much less actual therapy. I do remember at the appt when I was first diagnosed with my prolapse, I did tell my female gynocologist that I had always faithfully done me kegel exercises and her reply, “Oh I don’t think they help all that much”.... I had my 4 month post anterior and posterior surgery check up  and all was fine and am not to return for a year unless I have a problem. My gynocologist did not mention any kind of therapy yet many of post surgery ladies here actually go to pelvic floor physical  therapist. Has anyone else had pelvic floor prolapse repair and pelvic floor physical therapy was not mentioned/recommended? Thanks 😄

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    • Posted

      If you got a weak pf then you will get issues in the future. You obviously have a weak floor hense why you had repairs..

      I'm sorry but I don't agree with your consultant hun.

      I wish I was told after my 2 babies that pf needs strengthen after childbirth.

      I will never stop now after my surgeries.x

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    • Posted

      Yes it's good.. Been around for quite a while now,when I had my first op they were talking about it on here. I tend not to need it as I do them morning afternoon and night.. A good idea though if you need reminding.x

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    • Posted

      Yes it's good.. Been around for quite a while now,when I had my first op they were talking about it on here. I tend not to need it as I do them morning afternoon and night.. A good idea though if you need reminding.x

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  • Posted

    I also use a app. KPFE. It is good. You can set reminders and alter the lengths of squeeze/relax times and the number of repetitions. 
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  • Posted

    So who knows if this is also because of pf muscle tension/spasms? I have episodes varying from two to six/seven hours each day of burning near the clitoris/urethra area which make me urinate more often. And then....suddenly that all stops and the rest of the day everything is normal. II am really worried about this . 
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